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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: "10S o R <br /> PID• <br /> DESCRIPTION OF WORK: rJ c c (SPR,2 <br /> ZONING REVIEW BY: DATE APPROVED: 3•2-6 -03, <br /> BUILDING REVIEW BY: DATE APPROVED; 3.2x6-o3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes l/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: /QQ C & <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes of No Date of Survey: �{•I q- °Z <br /> Proposed Setbacks: <br /> Foat(Lake): -1' Right Si e: <br /> Rear(Street): Left Si <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # 2S�b Resolution: # YK Resolution Date: i-�7- 0 3. <br /> Shoreland District: y&s <br /> Avg. Setback: tmAi ire, Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' S 12 <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes_e- No Date of Council Approval: /• 27- 03 <br /> REMARKS(in house): <br /> 7 <br />